| NPI | 1104017110 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REESE EUGENE POLESKY President 310-281-2111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CA G6438) |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2019-05-21 |